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General NPI Number Information
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NPI Number | 1639992894
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Entity Type | Organization
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Legal Business Name | TEXAS ADVANCED SURGERY CENTER LLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 6927 BRISBANE CT STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-4922
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Country | US
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Telephone | 972-352-3195
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Fax |
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Provider Business Mailing Address
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Address Line | 6927 BRISBANE CT STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-4922
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Country | US
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Telephone | 281-937-2967
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Fax | 281-294-1499
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MRS. JUANITA MICHELLE PATINO
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Credential |
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Telephone | 833-626-8724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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